| 17 Hydroxyprogesterone (83498) |
$230.25 |
$307 |
8.5× |
| 5-Hiaa (83497) |
$163.50 |
$218 |
12.7× |
| Acetaminophen (80143) |
$338.25 |
$451 |
18.1× |
| Acetone, quantitative (82010) |
$158.25 |
$211 |
19.4× |
| Acth (82024) |
$237.75 |
$317 |
6.2× |
| Actin smooth muscle antibody each (86015) |
$134.25 |
$179 |
11.1× |
| Activated protein c resistance (85307) |
$369 |
$492 |
24.1× |
| Acute hepatitis panel (80074) |
$222 |
$296 |
4.7× |
| Afb culture (87116) |
$147.75 |
$197 |
13.7× |
| Afb smear (87206) |
$80.25 |
$107 |
14.9× |
| Albumin serum (82040) |
$45.75 |
$61 |
9.2× |
| Alcohol (82077) |
$273.75 |
$365 |
15.9× |
| Aldolase (82085) |
$129.75 |
$173 |
13.4× |
| Aldosterone (82088) |
$117 |
$156 |
2.9× |
| Alkaline phosphatase (84075) |
$57 |
$76 |
11.0× |
| Allergen profile perennial allergen (86003) |
$24.75 |
$33 |
4.7× |
| Alpha-1-antitrypsin (82103) |
$120 |
$160 |
8.9× |
| Alpha-fetoprotein serum (82105) |
$132.75 |
$177 |
7.9× |
| Alt (84460) |
$45 |
$60 |
8.5× |
| Aluminum (82108) |
$95.25 |
$127 |
3.7× |
| Amikacin level (80150) |
$95.25 |
$127 |
6.3× |
| Amino acids, 6 or more amino acids, quantitative, each specimen Other Outpatient (82139) |
$303 |
$404 |
18.0× |
| Ammonia (82140) |
$156 |
$208 |
10.7× |
| Amylase (82150) |
$90 |
$120 |
13.9× |
| Ana (86038) |
$123 |
$164 |
10.2× |
| Analysis for antibody to Epstein-Barr virus (mononucleosis virus), nuclear antigen (86664) |
$70.50 |
$94 |
4.6× |
| Analysis for antibody to Epstein-Barr virus (mononucleosis virus), viral capsid (86665) |
$135 |
$180 |
7.4× |
| Angiotensin converting enzyme (82164) |
$164.25 |
$219 |
11.3× |
| Anti-mitochondrial antibody (86255) |
$260.25 |
$347 |
21.6× |
| Antibody west nile virus igm (86788) |
$53.25 |
$71 |
3.2× |
| Antineutrophil cytoplasmic antb screen ea antb (86036) |
$115.50 |
$154 |
9.6× |
| Antistreptolysin o titer (86060) |
$87.75 |
$117 |
12.0× |
| Antithrombin iii activity (85300) |
$168.75 |
$225 |
14.2× |
| Antithrombin iii antigen (85301) |
$200.25 |
$267 |
18.5× |
| Apolipoprotein each (82172) |
$87.75 |
$117 |
4.2× |
| Ast (84450) |
$45 |
$60 |
8.7× |
| B cells total count (86355) |
$269.25 |
$359 |
7.1× |
| Bartonella antibody (86611) |
$89.25 |
$119 |
8.8× |
| Bcr/abl1 gene major bp (81206) |
$443.25 |
$591 |
2.7× |
| Bcr/abl1 gene minor bp (81207) |
$393 |
$524 |
2.7× |
| Beta lactamase (87185) |
$27 |
$36 |
5.7× |
| Bile acids total (82239) |
$42 |
$56 |
2.5× |
| Bilirubin direct (82248) |
$58.88 |
$78.50 |
11.7× |
| Bilirubin total (82247) |
$71.25 |
$95 |
14.2× |
| Bilirubin total transcutaneous (88720) |
$16.88 |
$22.50 |
3.4× |
| Biotinidase (82261) |
$156 |
$208 |
9.2× |
| Blood count leukocyte wbc automated (85048) |
$69 |
$92 |
27.2× |
| Blood count reticulocyte automated (85045) |
$70.88 |
$94.50 |
17.8× |
| Blood gases any combination (82803) |
$390 |
$520 |
15.0× |
| Blood gases ph only (82800) |
$107.25 |
$143 |
9.8× |
| Blood gases w/o2 saturation (82805) |
$432 |
$576 |
5.5× |
| Blood typing rbc antigens (86905) |
$138.38 |
$184.50 |
36.1× |
| Blood typing serologic abo (86900) |
$133.50 |
$178 |
44.6× |
| Blood typing serologic rh (d) (86901) |
$63.75 |
$85 |
21.3× |
| Blood typing, serologic; antigen screening for compatible unit using patient serum, per unit screened Other Outpatient (86904) |
$49.50 |
$66 |
3.0× |
| Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test Other Outpatient (86902) |
$255.75 |
$341 |
40.3× |
| Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations… (82274) |
$180.75 |
$241 |
11.4× |
| C diff amplified probe (87493) |
$153.75 |
$205 |
4.1× |
| C-peptide (84681) |
$143.25 |
$191 |
6.9× |
| C-reactive protein (86140) |
$93.75 |
$125 |
18.1× |
| C-reactive protein high sensitivity (86141) |
$117 |
$156 |
9.0× |
| Ca 125 (86304) |
$201 |
$268 |
9.7× |
| Ca 15-3 (86300) |
$171.75 |
$229 |
8.3× |
| Calcium ionized (82330) |
$146.25 |
$195 |
10.7× |
| Calcium total (82310) |
$57.75 |
$77 |
11.2× |
| Calcium, random urine (82340) |
$120.75 |
$161 |
20.0× |
| Calprotectin fecal (83993) |
$264 |
$352 |
13.4× |
| Cancer antigen 19-9 (86301) |
$159 |
$212 |
7.6× |
| Carbamazepine total (80156) |
$125.25 |
$167 |
8.6× |
| Carbohydrate deficient transferrin (82373) |
$62.25 |
$83 |
3.4× |
| Carbon dioxide (82374) |
$60.75 |
$81 |
12.4× |
| Carbon monoxide (82375) |
$155.25 |
$207 |
12.6× |
| Cardiolipin antibody ea ig class (86147) |
$147.75 |
$197 |
5.8× |
| Catecholamines fractionated (82384) |
$180.75 |
$241 |
7.2× |
| Cd4/cd8 count - lymphocyte subset panel 5 - arup (86360) |
$154.88 |
$206.50 |
3.3× |
| Cea (82378) |
$158.25 |
$211 |
8.3× |
| Cell count body fluid (89050) |
$124.50 |
$166 |
26.4× |
| Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count… (89051) |
$143.25 |
$191 |
25.6× |
| Ceruloplasmin (82390) |
$99.75 |
$133 |
9.3× |
| Chlamydia pneumoniae PCR (87486) |
$228.75 |
$305 |
6.5× |
| Chloride blood (82435) |
$14.25 |
$19 |
3.1× |
| Chloride urine (82436) |
$63 |
$84 |
11.0× |
| Cholesterol total (82465) |
$39 |
$52 |
9.0× |
| Chorionic gonadotropin test (84702) |
$236.25 |
$315 |
15.7× |
| Chromogenic substrate assay (85130) |
$35.25 |
$47 |
3.0× |
| Chromogranin a (86316) |
$201.75 |
$269 |
9.7× |
| Citrate (82507) |
$228.75 |
$305 |
8.2× |
| Ck mb fraction (82553) |
$142.50 |
$190 |
12.3× |
| Clot inhibit prot s total (85305) |
$57.75 |
$77 |
5.0× |
| Clotting funct activity (85397) |
$244.50 |
$326 |
7.9× |
| Clotting; factor VIII, von Willebrand factor, multimetric analysis Other Outpatient (85247) |
$244.50 |
$326 |
10.7× |
| Cmv antibody (86644) |
$57 |
$76 |
4.0× |
| Coccidioides antibody (86635) |
$127.50 |
$170 |
11.1× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) |
$436.50 |
$582 |
18.1× |
| Cold agglutinins titer (86157) |
$95.25 |
$127 |
11.8× |
| Complement antigen ea component (86160) |
$146.25 |
$195 |
12.2× |
| Copper (82525) |
$166.88 |
$222.50 |
13.4× |
| Cortisol free (82530) |
$129.75 |
$173 |
7.8× |
| Cortisol saliva (82533) |
$127.50 |
$170 |
7.8× |
| COVID-19 antibody (86769) |
$184.50 |
$246 |
4.4× |
| Creatine kinase isoenzymes (82552) |
$266.25 |
$355 |
19.9× |
| Creatine kinase total (82550) |
$77.25 |
$103 |
11.9× |
| Creatinine (82565) |
$45 |
$60 |
8.8× |
| Creatinine clearance (82575) |
$65.25 |
$87 |
6.9× |
| Creatinine other source (82570) |
$60.75 |
$81 |
11.7× |
| Crossmatch ahg (86922) |
$206.62 |
$275.50 |
1.1× |
| Cryoglobulins (82595) |
$99.75 |
$133 |
15.4× |
| Cryptosporidium ag eia (87328) |
$120.75 |
$161 |
8.7× |
| Crystals fluid (89060) |
$69.75 |
$93 |
9.5× |
| Culture anaerobic (87075) |
$168.75 |
$225 |
17.8× |
| Culture blood (87040) |
$243.38 |
$324.50 |
23.6× |
| Culture stool (87045) |
$92.25 |
$123 |
9.8× |
| Culture urine (87086) |
$111.75 |
$149 |
13.8× |
| Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate Other… (87077) |
$59.25 |
$79 |
7.3× |
| Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate Other… (87076) |
$104.25 |
$139 |
12.9× |
| Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each… (87046) |
$48.75 |
$65 |
5.2× |
| Culture, typing; identification of blood pathogen and resistance typing, when performed, by nucleic acid (DNA or RNA)… (87154) |
$588.75 |
$785 |
2.7× |
| Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum Other… (87147) |
$87.75 |
$117 |
16.9× |
| Cyclic citrullinated peptide ab (86200) |
$174.75 |
$233 |
13.5× |
| Cyclosporine (80158) |
$423 |
$564 |
23.4× |
| Cysticercus igg ab western blot serum arup to quest diag id 34279 (86682) |
$235.50 |
$314 |
18.1× |
| Cytomeg DNA amp probe (87496) |
$181.50 |
$242 |
5.2× |
| Cytomegalovirus antibody igm (86645) |
$60 |
$80 |
3.6× |
| Cytopath cell enhance tech (88112) |
$319.50 |
$426 |
5.8× |
| Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88142) |
$53.25 |
$71 |
2.6× |
| Cytopathology, slides, cervical or vaginal; manual screening under physician supervision Other Outpatient (88150) |
$28.50 |
$38 |
1.5× |
| D-dimer quantitative (85379) |
$171.75 |
$229 |
16.9× |
| Deoxyribonuclease antibody (86215) |
$150.75 |
$201 |
11.4× |
| Deoxyribonucleic acid (DNA) antibody; native or double stranded Other Outpatient (86225) |
$104.25 |
$139 |
7.6× |
| Dhea sulfate (82627) |
$200.25 |
$267 |
9.0× |
| Digoxin (80162) |
$174 |
$232 |
13.1× |
| Direct antiglobulin test (86880) |
$72 |
$96 |
13.4× |
| DNA/RNA amplified probe (87150) |
$84 |
$112 |
2.4× |
| Drug assay salicylate (80179) |
$275.25 |
$367 |
14.8× |
| Drug screen quant levetiracetam (80177) |
$89.25 |
$119 |
6.7× |
| Drug test prsmv dir opt obs (80305) |
$118.12 |
$157.50 |
9.4× |
| Ear culture (87070) |
$269.25 |
$359 |
31.2× |
| Ehrlichia antibody (86666) |
$84.75 |
$113 |
8.3× |
| Elastase pancreatic fecal quantitative (82653) |
$168 |
$224 |
7.3× |
| Electrolytes panel (80051) |
$96 |
$128 |
13.7× |
| Eosinophils urine (87205) |
$81 |
$108 |
19.0× |
| Erythropoietin (82668) |
$164.25 |
$219 |
8.7× |
| Estradiol (82670) |
$164.25 |
$219 |
5.9× |
| Estriol (82677) |
$162 |
$216 |
6.7× |
| Extractable nuclear antigen antibody any method (86235) |
$223.50 |
$298 |
12.5× |
| F2 gene analysis (81240) |
$144.75 |
$193 |
2.2× |
| F5 gene (81241) |
$120 |
$160 |
1.6× |
| Factor ii activity (85210) |
$66 |
$88 |
5.1× |
| Factor inhibitor test (85335) |
$38.25 |
$51 |
3.0× |
| Factor ix activity (85250) |
$124.50 |
$166 |
6.5× |
| Factor v activity (85220) |
$226.50 |
$302 |
12.8× |
| Factor vii activity (85230) |
$54 |
$72 |
3.0× |
| Factor viii activity (85240) |
$94.50 |
$126 |
5.3× |
| Factor viii vw antigen (85246) |
$244.50 |
$326 |
10.7× |
| Factor x (stuart-prower) (85260) |
$87.75 |
$117 |
4.9× |
| Factor xi activity (85270) |
$87.75 |
$117 |
4.9× |
| Factor xii (hageman) (85280) |
$226.50 |
$302 |
11.7× |
| Fat, fecal quantitative 72-hour collection (includes homogenization) arup 2002356 (82710) |
$177.75 |
$237 |
10.6× |
| Ferritin (82728) |
$122.25 |
$163 |
9.0× |
| Fetal fibronectin (82731) |
$541.50 |
$722 |
8.4× |
| Fetal hemoglobin or red blood cells measurement for assessment of fetal-maternal circulation, differential lysis (85460) |
$21.75 |
$29 |
2.8× |
| Fetal hemoglobin or red blood cells measurement for assessment of fetal-maternal circulation, rosette (85461) |
$196.50 |
$262 |
21.0× |
| Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation Other Outpatient (85366) |
$189.75 |
$253 |
2.4× |
| Fibrinogen antigen (85385) |
$42 |
$56 |
2.9× |
| Fibrinogen, activity (85384) |
$120.75 |
$161 |
12.4× |
| Fibrinolysins or coagulopathy screen, interpretation and report Other Outpatient (85390) |
$68.25 |
$91 |
4.4× |
| Flow cytometry first marker (88184) |
$293.25 |
$391 |
0.8× |
| Folate serum (82746) |
$139.50 |
$186 |
9.5× |
| Follicle stimulating hormone (fsh) (83001) |
$117 |
$156 |
6.3× |
| Ftl cgen abnor four anal (81511) |
$440.25 |
$587 |
2.9× |
| Galactose-1-phosphate uridyl transferase; quantitative Other Outpatient (82775) |
$36.75 |
$49 |
1.7× |
| Galactose-1-phosphate uridyl transferase; screen Other Outpatient (82776) |
$36 |
$48 |
3.1× |
| Gamma glutamyl transferase (82977) |
$68.25 |
$91 |
9.5× |
| Gammaglobulin ige (82785) |
$123 |
$164 |
7.5× |
| Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry Other Outpatient (82810) |
$19.50 |
$26 |
2.0× |
| Gastrin (82941) |
$57.75 |
$77 |
3.3× |
| Giardia antigen (87329) |
$140.62 |
$187.50 |
11.7× |
| Gluc bld gluc mntr dev cleared fda spec home use (82962) |
$36 |
$48 |
11.0× |
| Glucose Fasting (82947) |
$134.25 |
$179 |
34.2× |
| Glucose other fluid (82945) |
$87.38 |
$116.50 |
22.2× |
| Glucose post glucose dose (82950) |
$69.75 |
$93 |
14.7× |
| Glucose tolerance test (gtt) (82951) |
$102 |
$136 |
7.9× |
| Glycated hemoglobin (83036) |
$102.75 |
$137 |
10.6× |
| Gtt-added samples (82952) |
$15.75 |
$21 |
4.0× |
| H pylori stool (87338) |
$195 |
$260 |
13.6× |
| Haptoglobin (83010) |
$158.25 |
$211 |
12.6× |
| Hbsag neutralization (87341) |
$93.75 |
$125 |
9.1× |
| Hcg ql (84703) |
$169.50 |
$226 |
22.5× |
| HDL cholesterol (83718) |
$75 |
$100 |
9.2× |
| Hematocrit (hct) (85014) |
$60.75 |
$81 |
25.6× |
| Hematocrit spun (85013) |
$38.62 |
$51.50 |
5.5× |
| Hemoglobin (85018) |
$87 |
$116 |
36.7× |
| Hemoglobin electrophoresis (83020) |
$123 |
$164 |
9.6× |
| Hemoglobin fractj/quantj chromotography (83021) |
$142.50 |
$190 |
7.9× |
| Hepatitis a antibody igm (86709) |
$162.75 |
$217 |
14.5× |
| Hepatitis b core antibody igm (86705) |
$144.75 |
$193 |
12.3× |
| Hepatitis b core antibody total (86704) |
$170.25 |
$227 |
14.1× |
| Hepatitis b surface ab (86706) |
$125.25 |
$167 |
11.7× |
| Hepatitis b surface antigen (87340) |
$158.25 |
$211 |
15.3× |
| Hepatitis be antibody (86707) |
$116.25 |
$155 |
10.0× |
| Hepatitis be antigen (87350) |
$123 |
$164 |
10.7× |
| Hepatitis c antibody (86803) |
$123 |
$164 |
8.6× |
| Hepatitis C antibody; confirmatory test (eg, immunoblot) Other Outpatient (86804) |
$267.75 |
$357 |
17.3× |
| Hepatitis c RNA quantitative (87522) |
$345 |
$460 |
8.1× |
| Herpes simp virus type 1 &/or 2 ab igg with ref to type 1 & 2 glycoprotein g-spec arup 0051708 (86694) |
$123.75 |
$165 |
8.6× |
| Herpes simplex virus by PCR (87529) |
$442.50 |
$590 |
12.6× |
| Heterophile antibody screen (86308) |
$43.12 |
$57.50 |
8.3× |
| Hexagonal phospholipid neutralization (85598) |
$222.75 |
$297 |
12.4× |
| Hfe gene (81256) |
$230.25 |
$307 |
3.5× |
| Histamine (83088) |
$177 |
$236 |
6.0× |
| Histoplasma antibody (86698) |
$81 |
$108 |
5.9× |
| Hiv-1/Hiv-2, Single Assay - Rapid Hiv 1 and 2 Screen (Acc Exp/Source) (86703) |
$120 |
$160 |
8.8× |
| Hla b27 (86812) |
$181.50 |
$242 |
7.0× |
| Hla ii typing 1 loc hr (81382) |
$354 |
$472 |
2.9× |
| Homocysteine level (83090) |
$168 |
$224 |
9.4× |
| Homogenization tissue (87176) |
$117 |
$156 |
19.9× |
| Iadna-DNA/RNA probe tq 12-25 (87507) |
$984.75 |
$1,313 |
2.4× |
| Igg subclass 1 (82787) |
$105.75 |
$141 |
13.2× |
| Immunoassay analyte quantitative nos (83520) |
$237.38 |
$316.50 |
13.7× |
| Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent… (86318) |
$139.50 |
$186 |
7.7× |
| Immunoassay infectious agent antibody quan nos (86317) |
$210.75 |
$281 |
14.1× |
| Immunofixation electrophoresis (86334) |
$381 |
$508 |
17.1× |
| Immunofixation urine (86335) |
$391.50 |
$522 |
13.3× |
| Immunoglobulin d (82784) |
$251.25 |
$335 |
27.0× |
| Immunoglobulin light chains free each (83521) |
$165 |
$220 |
9.6× |
| Immunoperoxidase (88342) |
$300 |
$400 |
1.7× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus Other… (87809) |
$24 |
$32 |
1.1× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified… (87899) |
$78.75 |
$105 |
4.9× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial… (87807) |
$60 |
$80 |
4.6× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B… (87802) |
$95.25 |
$127 |
7.5× |
| Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism Other… (87799) |
$1,133.25 |
$1,511 |
26.5× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique Other… (87491) |
$132 |
$176 |
3.8× |
| Influenza assay w/optic (87804) |
$52.50 |
$70 |
3.2× |
| Influenza DNA amp probe (87502) |
$124.50 |
$166 |
1.3× |
| Inhibin a (86336) |
$132 |
$176 |
8.5× |
| Insulin total (83525) |
$123 |
$164 |
10.8× |
| Iron (83540) |
$72 |
$96 |
11.1× |
| Irradiation of blood product, each unit (86945) |
$95.25 |
$127 |
2.4× |
| Islet cell antibody (86341) |
$596.25 |
$795 |
25.3× |
| Jak2 gene (81270) |
$468.75 |
$625 |
5.1× |
| Koh prep (87220) |
$9 |
$12 |
2.1× |
| Lactate (83605) |
$198.75 |
$265 |
17.2× |
| Lactate dehydrogenase (83615) |
$121.50 |
$162 |
20.1× |
| Lactoferrin fecal (qual) (83630) |
$81.75 |
$109 |
4.1× |
| Lamotrigine (80175) |
$72 |
$96 |
5.4× |
| Lead (83655) |
$125.25 |
$167 |
10.3× |
| Legionella culture (87081) |
$74.25 |
$99 |
11.2× |
| Legionella urine antigen (87449) |
$174 |
$232 |
14.5× |
| Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization… (88302) |
$303 |
$404 |
7.7× |
| Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm -… (88304) |
$353.25 |
$471 |
6.4× |
| Level IV - surgical pathology, gross and microscopic examination abortion - spontaneous/missed artery, biopsy bone… (88305) |
$401.25 |
$535 |
7.3× |
| Level v - surgical pathology, gross and microscopic examination adrenal, resection bone - biopsy/curettings bone… (88307) |
$543 |
$724 |
1.4× |
| Lipase (83690) |
$198 |
$264 |
28.7× |
| Lithium (80178) |
$90.75 |
$121 |
13.7× |
| Luteinizing hormone (lh) (83002) |
$96 |
$128 |
5.2× |
| Lyme disease antibody (86617) |
$44.25 |
$59 |
2.9× |
| Lyme disease antibody (86618) |
$88.50 |
$118 |
5.2× |
| Magnesium (83735) |
$79.50 |
$106 |
11.9× |
| Malaria smear (87207) |
$78 |
$104 |
13.0× |
| Manual differential (85007) |
$110.25 |
$147 |
29.0× |
| Metanephrines (83835) |
$214.50 |
$286 |
12.7× |
| Methylmalonic acid serum (83921) |
$199.50 |
$266 |
9.4× |
| Microalbumin urine (82043) |
$123 |
$164 |
21.3× |
| Mitochondrial antibody each (86381) |
$67.50 |
$90 |
2.7× |
| Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor),… (88360) |
$395.25 |
$527 |
2.2× |
| Mumps antibody (86735) |
$317.25 |
$423 |
24.3× |
| Muscle-specific kinase antb (86366) |
$204 |
$272 |
11.1× |
| Mycoplasma pneumoniae by PCR (87581) |
$232.50 |
$310 |
6.6× |
| Myelin associated glycoprotein (mag) antibody (83516) |
$759 |
$1,012 |
65.8× |
| Myoglobin (83874) |
$120 |
$160 |
9.3× |
| N.gonorrhoeae DNA amp prob (87591) |
$119.25 |
$159 |
3.4× |
| Natriuretic peptide (83880) |
$353.25 |
$471 |
9.0× |
| Nephelometry ea analyte (83883) |
$304.50 |
$406 |
22.4× |
| Nk cells total count (86357) |
$38.25 |
$51 |
1.0× |
| Occult bld feces 1-3 tests (82272) |
$96.75 |
$129 |
22.9× |
| Occult blood other sources (82271) |
$9 |
$12 |
1.7× |
| Occult blood screening (82270) |
$28.50 |
$38 |
6.5× |
| Osmolality serum (83930) |
$70.50 |
$94 |
10.7× |
| Osmolality urine (83935) |
$75.75 |
$101 |
11.1× |
| Ova and parasite exam (87177) |
$114.75 |
$153 |
12.9× |
| Oxalate urine (83945) |
$117 |
$156 |
8.1× |
| Pancreatic elastase fecal (82656) |
$42.75 |
$57 |
3.7× |
| Pancreatic polypeptide (83519) |
$210 |
$280 |
11.4× |
| Parathyroid hormone (83970) |
$118.50 |
$158 |
2.9× |
| Particle agglutination tst, scrn - bacterial antigen detect grp b strep (86403) |
$24 |
$32 |
2.1× |
| Parvovirus antibody (86747) |
$254.25 |
$339 |
16.9× |
| Pertussis by PCR (87798) |
$281.25 |
$375 |
8.0× |
| Ph body fluid (83986) |
$94.50 |
$126 |
26.4× |
| Phenylalanine (84030) |
$62.25 |
$83 |
11.3× |
| Phenytoin level total (80185) |
$181.50 |
$242 |
13.7× |
| Phosphorus (84100) |
$49.50 |
$66 |
10.4× |
| Phosphorus urine (84105) |
$60.75 |
$81 |
10.5× |
| Platelet count automated (85049) |
$102 |
$136 |
22.8× |
| Platelet neutralization (85597) |
$142.50 |
$190 |
7.9× |
| Porphyrins total plasma (84311) |
$343.50 |
$458 |
42.4× |
| Potassium (84132) |
$89.25 |
$119 |
18.8× |
| Potassium urine (84133) |
$43.50 |
$58 |
9.2× |
| Prealbumin (84134) |
$161.25 |
$215 |
11.1× |
| Pretreatment of serum for use in RBC antibody identification; by differential red cell absorption using patient RBCs or… (86978) |
$285.75 |
$381 |
4.6× |
| Procalcitonin (pct) (84145) |
$198.75 |
$265 |
7.3× |
| Progesterone (84144) |
$123 |
$164 |
5.9× |
| Prolactin (84146) |
$123 |
$164 |
6.3× |
| Prostaglandin (84150) |
$415.50 |
$554 |
9.9× |
| Protein c activity (85303) |
$225 |
$300 |
16.3× |
| Protein c antigen (85302) |
$230.25 |
$307 |
19.2× |
| Protein electrophoresis serum (84165) |
$247.50 |
$330 |
23.0× |
| Protein electrophoresis urine (84166) |
$273 |
$364 |
15.3× |
| Protein s antigen, free (85306) |
$210.75 |
$281 |
13.8× |
| Protein total other source (84157) |
$96.75 |
$129 |
24.2× |
| Protein total serum (84155) |
$60 |
$80 |
16.3× |
| Protein total urine (84156) |
$60.75 |
$81 |
16.6× |
| Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band… (84182) |
$252.75 |
$337 |
8.7× |
| Prothrombin time; substitution, plasma fractions, each Other Outpatient (85611) |
$90 |
$120 |
22.8× |
| Protozoa antibody nos (86753) |
$74.25 |
$99 |
6.0× |
| PSA free (84154) |
$136.50 |
$182 |
7.4× |
| Rbc antibody elution (86860) |
$397.50 |
$530 |
2.2× |
| Rbc antibody identification (86870) |
$262.50 |
$350 |
0.7× |
| Rbc antibody screen (86850) |
$115.50 |
$154 |
11.8× |
| Reagent strip/blood glucose (82948) |
$24.75 |
$33 |
4.9× |
| Reflex gamma-aminobutyric acid receptor, type a (gaba-ar) antibody titer, igg by cba-ifa, csf arup 3006006 (86256) |
$137.25 |
$183 |
11.4× |
| Reflex herpes simplex virus type 1 glycoprotein g-specific antibody, igg by elisa (herpeselect(r) (86695) |
$129 |
$172 |
9.8× |
| Reflex herpes simplex virus type 2 glycoprotein g-specific antibody, igg by elisa, csf arup 00503 (86696) |
$153 |
$204 |
7.9× |
| Renin (84244) |
$150.75 |
$201 |
6.9× |
| Reptilase test (85635) |
$29.25 |
$39 |
3.0× |
| Resp virus 12-25 targets (87633) |
$621 |
$828 |
1.5× |
| Resp virus 3-5 targets (87631) |
$415.50 |
$554 |
2.9× |
| Rheumatoid factor quant (86431) |
$85.50 |
$114 |
15.1× |
| Rickettsia antibody (86757) |
$88.50 |
$118 |
4.6× |
| Ristocetin cofactor (85245) |
$454.50 |
$606 |
19.8× |
| Rl immediate spin crossmatch (86920) |
$177 |
$236 |
1.0× |
| Rpr qual (86592) |
$81 |
$108 |
19.0× |
| Rpr titer (86593) |
$18 |
$24 |
4.1× |
| Rubella antibody (86762) |
$297 |
$396 |
20.6× |
| Rubeola antibody (86765) |
$163.50 |
$218 |
12.7× |
| Russell viper venom diluted (85613) |
$134.25 |
$179 |
14.0× |
| Sedimentation rate rbc non-automated (85651) |
$60 |
$80 |
14.1× |
| Semen analysis post vasectomy (89321) |
$77.25 |
$103 |
6.4× |
| Shiga-like toxin ag eia (87427) |
$69.75 |
$93 |
5.8× |
| Sirolimus (80195) |
$354 |
$472 |
25.8× |
| Skin test tuberculosis intradermal (86580) |
$248.79 |
$331.72 |
8.2× |
| Smear wet mount (87210) |
$41.62 |
$55.50 |
7.2× |
| Sodium (84295) |
$93 |
$124 |
19.3× |
| Sodium urine (84300) |
$71.25 |
$95 |
14.1× |
| Somatomedin (84305) |
$255 |
$340 |
12.0× |
| Special stains group i (88312) |
$148.50 |
$198 |
2.7× |
| Special stains group ii (88313) |
$198 |
$264 |
1.4× |
| Sputum, obtaining specimen, aerosol induced technique (separate procedure) (89220) |
$101.25 |
$135 |
0.6× |
| Stone analysis (82365) |
$82.50 |
$110 |
6.4× |
| Strep a assay w/optic (87880) |
$92.25 |
$123 |
5.6× |
| Strep a DNA amp probe (87651) |
$99 |
$132 |
2.8× |
| Sulfate urine (84392) |
$76.50 |
$102 |
13.9× |
| Surg path level 1 (88300) |
$53.25 |
$71 |
1.7× |
| Susceptibility mic per plate (87186) |
$140.25 |
$187 |
16.2× |
| T3 free (84481) |
$212.25 |
$283 |
12.5× |
| T3 reverse (84482) |
$216.75 |
$289 |
13.8× |
| T4 (thyroxine) total (84436) |
$151.50 |
$202 |
22.1× |
| Tacrolimus (80197) |
$534 |
$712 |
38.9× |
| Tb test cell immun measure (86480) |
$358.50 |
$478 |
5.8× |
| Testosterone free (84402) |
$150.75 |
$201 |
5.9× |
| Testosterone total (84403) |
$186.75 |
$249 |
7.2× |
| Thiopurine drug metabolites (83789) |
$74.25 |
$99 |
3.1× |
| Thiopurine methyltransferase, rbc (82657) |
$360.75 |
$481 |
16.3× |
| Thrombin time plasma (85670) |
$99.75 |
$133 |
17.3× |
| Thromboplastin time, partial (PTT); substitution, plasma fractions, each Other Outpatient (85732) |
$89.25 |
$119 |
13.8× |
| Thyroglobulin (84432) |
$105 |
$140 |
6.5× |
| Thyroglobulin antibody (86800) |
$141.75 |
$189 |
8.9× |
| Thyroid peroxidase antibody (86376) |
$117 |
$156 |
8.0× |
| Thyroid stimulating immune globulins (thyroid related protein) level (84445) |
$419.25 |
$559 |
8.2× |
| Thyroxine free (ft4) (84439) |
$124.50 |
$166 |
13.8× |
| Thyroxine; requiring elution (eg, neonatal) Other Outpatient (84437) |
$21.75 |
$29 |
3.4× |
| Tissue transglutaminase ea immunoglobulin class (86364) |
$84 |
$112 |
7.3× |
| Transferrin (84466) |
$120 |
$160 |
9.4× |
| Treponema pallidum antibody (86780) |
$96.75 |
$129 |
7.3× |
| Trg gene rearrangement anal (81342) |
$578.25 |
$771 |
2.9× |
| Trichomonas assay w/optic (87808) |
$24.75 |
$33 |
1.6× |
| Trichomonas vaginalis amplif (87661) |
$185.25 |
$247 |
5.3× |
| Trichrome stain (87209) |
$281.25 |
$375 |
15.6× |
| Triglycerides (84478) |
$57.75 |
$77 |
10.1× |
| Triiodothyronine total assay, tt-3 - t3 (thyroid hormone) (84480) |
$137.25 |
$183 |
9.7× |
| Troponin t (84484) |
$183.75 |
$245 |
14.7× |
| Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing… (86481) |
$129 |
$172 |
1.3× |
| Urea nitrogen quantitative (84520) |
$40.50 |
$54 |
10.3× |
| Urea nitrogen urine (84540) |
$90 |
$120 |
16.2× |
| Uric acid blood (84550) |
$42 |
$56 |
9.3× |
| Uric acid other source (84560) |
$118.50 |
$158 |
23.3× |
| Urinalysis auto w/micro (81001) |
$75 |
$100 |
23.7× |
| Urinalysis microscopic only (81015) |
$35.25 |
$47 |
11.6× |
| Urinalysis volume measure (81050) |
$51 |
$68 |
14.0× |
| Urine Pregnancy Test POC (81025) |
$106.50 |
$142 |
12.4× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) |
$81 |
$108 |
36.0× |
| Valproic acid (80164) |
$164.25 |
$219 |
12.1× |
| Vancomycin (80202) |
$209.25 |
$279 |
15.5× |
| Varicella zoster antibody igg (86787) |
$128.25 |
$171 |
10.0× |
| Virus antibody nos (86790) |
$213.75 |
$285 |
16.6× |
| Vitamin b-12 (82607) |
$131.25 |
$175 |
8.7× |
| Vitamin b1 whole blood (84425) |
$189 |
$252 |
8.9× |
| Vitamin b6 (84207) |
$133.50 |
$178 |
4.8× |
| Vitamin d 25 hydroxy (82306) |
$225.75 |
$301 |
7.6× |
| Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed Other Outpatient (82652) |
$270.75 |
$361 |
7.0× |
| Vma (84585) |
$170.25 |
$227 |
11.0× |
| Voltage-gated calcium channel antibody each (86596) |
$106.50 |
$142 |
8.8× |
| West nile virus antibody (86789) |
$42 |
$56 |
2.9× |
| Z t cells total count (86359) |
$53.25 |
$71 |
1.4× |
| Zinc (84630) |
$129.75 |
$173 |
11.4× |